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Maine rates for HCPCS 0123U

Mchnl Frglty Rbc Shear Strs&Spectral Alys Prflg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.63 / $357.63 / $759.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.05 / $143.05 / $232.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $410.94 / $513.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.63 / $357.63 / $433.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.63 / $357.63 / $579.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $357.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.58 / $214.58 / $518.55